Insurance Verification Specialist

About the role

As a Benefits Verification Specialist at Xploy Solutions, you will verify medical, workers' compensation, and auto benefit reports for primary and secondary payers for managed care patients. The role reports to the Director of Verifications.

Responsibilities

• Learn and understand the training provided during onboarding.
• Review the benefits queue for open client requests throughout the day and manage requests using Guided Care software.
• Complete an average of 65 verifications per day at 90 days of hire and 85 or more per day after 120 days. Continue improving caseload and maintain an average of 65 or more per day at 365 days of hire.
• Maintain an error rate of fewer than two per month after 120 days of hire and a turnaround time of less than 15 minutes per client-requested verification.
• Attend monthly one-on-one meetings with leadership and collaborate with colleagues, helping with additional team verifications during downtime or a lull in individual caseload.
• Communicate respectfully with colleagues and leadership, and respond to all client requests by email by the end of the day.
• Maintain 100% attendance, follow HR policies for time clock and paid time off, and uphold company principles (GUIDE) in work-related interactions.

Requirements

• High school diploma or GED.
• Independent and self-motivated, with the ability to multitask while entering data and speaking by phone.
• Innovative and detail-oriented, with strong research and organizational skills.
• Able to thrive in a fast-paced, high-pressure environment and collaborate with colleagues and clients.
• Able to work remotely and autonomously, manage time effectively, meet deadlines, and communicate and exchange information and ideas so others will understand.

Datos clave

• Requires a high school diploma or GED.
• Verifies medical, workers' compensation, and auto benefit reports for primary and secondary payers.
• The role reports to the Director of Verifications.